NPIMap

Organization Active NPI

Jersey City Neck & Back Center, PC

  • Chiropractor
  • Jersey City, NJ
National Provider Identifier
1437359114
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MCO-6174 Issued in NJ
Legal business name
JERSEY CITY NECK & BACK CENTER, PC
Practice address
590 Newark Ave
Suite 2a
Jersey City, NJ 07306-2302
Phone
(201) 420-1165
Fax
(201) 420-6893
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles Edward Mascenik Jr., D.C.NPI 1568668697
Title
Director
Phone
(201) 420-1165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X MCO-6174 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA01212100 NJ

Addresses

Primary practice location

590 Newark Ave
Suite 2a
Jersey City, NJ 07306-2302

Mailing address

590 Newark Ave
Suite 2a
Jersey City, NJ 07306-2302
Phone (201) 420-1165

National Provider Directory

National Provider Directory

Locations

590 Newark Ave
Ste 2A
Jersey City, NJ 07306
Phone (201) 420-1165

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1437359114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 NEWARK AVE",
            "address_2": "SUITE 2A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062302",
            "telephone_number": "201-420-1165",
            "fax_number": "201-420-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NEWARK AVE",
            "address_2": "SUITE 2A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062302",
            "telephone_number": "201-420-1165",
            "fax_number": "201-420-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CITY NECK & BACK CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "MASCENIK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-420-1165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MCO-6174",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01212100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.